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接触新型冠状病毒肺炎的住院医师心理健康结局的相关因素

Factors associated with mental health outcomes among medical residents exposed to COVID-19.

作者信息

Khoodoruth Mohamed Adil Shah, Al-Nuaimi Saleem Khaldoon, Al-Salihy Zerak, Ghaffar Adeel, Khoodoruth Widaad Nuzhah Chut-Kai, Ouanes Sami

机构信息

Psychiatry Residency Program, Hamad Medical Corporation, Qatar.

Department of Psychiatry, Hamad Medical Corporation, Qatar.

出版信息

BJPsych Open. 2021 Feb 15;7(2):e52. doi: 10.1192/bjo.2021.12.

DOI:10.1192/bjo.2021.12
PMID:33583483
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8058844/
Abstract

BACKGROUND

The COVID-19 outbreak has caused challenges for healthcare systems worldwide. Recent data indicates that the psychological impact has differed with respect to occupation. In many countries, medical residents have been on the front line of this pandemic. However, data on the psychological impact of infectious disease outbreaks, and COVID-19 in particular, on medical residents are relatively lacking.

AIMS

The aim of our study was to assess the psychological impact of the COVID-19 pandemic on medical residents working on the front and second line.

METHOD

An electronic survey was sent to all medical residents in Qatar. Depression, anxiety and stress were assessed by the Depression, Anxiety and Stress Scale - 21 Items. Professional quality of life was measured by the Professional Quality of Life measure.

RESULTS

Of the 640 medical residents contacted, 127 (20%) responded. A considerable proportion of residents reported symptoms of depression (42.5%), anxiety (41.7%) and stress (30.7%). Multivariate analysis of variance showed significant effects of seniority in residency, with junior residents having poorer outcomes. In addition, there was a statistically significant interaction effect with moderate effect sizes between gender and working on the front line, as well as gender, working on the front line and seniority, on mental health outcomes.

CONCLUSIONS

The COVID-19 pandemic may have a negative impact on junior residents' mental health. Preventive measures to reduce stress levels and easy access to professional mental health services are crucial.

摘要

背景

新冠疫情给全球医疗系统带来了挑战。近期数据表明,心理影响因职业而异。在许多国家,住院医师一直处于这场疫情的前线。然而,关于传染病爆发,尤其是新冠疫情对住院医师心理影响的数据相对较少。

目的

我们研究的目的是评估新冠疫情对一线和二线工作的住院医师的心理影响。

方法

向卡塔尔所有住院医师发送了电子调查问卷。通过21项抑郁、焦虑和压力量表评估抑郁、焦虑和压力情况。通过职业生活质量量表测量职业生活质量。

结果

在联系的640名住院医师中,127名(20%)做出了回应。相当一部分住院医师报告有抑郁症状(42.5%)、焦虑症状(41.7%)和压力症状(30.7%)。多变量方差分析显示住院医师资历有显著影响,资历较浅的住院医师结果较差。此外,在心理健康结果方面,性别与一线工作之间以及性别、一线工作和资历之间存在具有中等效应大小的统计学显著交互作用。

结论

新冠疫情可能对资历较浅的住院医师心理健康产生负面影响。采取预防措施降低压力水平并确保能方便地获得专业心理健康服务至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5602/8058844/00e7c4f5d450/S2056472421000120_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5602/8058844/00e7c4f5d450/S2056472421000120_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5602/8058844/00e7c4f5d450/S2056472421000120_fig1.jpg

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